| Carolina Behavioral Health Services,pllc | |
|
1101 Tyvola Rd Suite 304 Charlotte NC 28217-3515 | |
| (704) 712-7669 | |
| (704) 264-3031 |
| Full Name | Carolina Behavioral Health Services,pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1101 Tyvola Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Charles Ukaoma (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 7047127669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Behavioral Health Services,pllc 1101 Tyvola Rd Suite 316 Charlotte NC 28217-3515 Ph: (704) 712-7669 | Carolina Behavioral Health Services,pllc 1101 Tyvola Rd Suite 304 Charlotte NC 28217-3515 Ph: (704) 712-7669 |
| NPI Number | 1609994979 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 11/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609994979 | NPI | - | NPPES |
| 6005825 | Medicaid | NC | |
| 6102192 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4813 (North Carolina) | Primary |
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